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Did you know that if you’ve been on a PPI like Nexium or Losec for more than a year, and the burning still wakes you up, it doesn’t necessarily mean your dose is too low — or that you need surgery? There’s another explanation. And it’s one I’ve spent the last decade explaining to my own patients. I’m a clinical gastroenterology researcher. In my consulting room in Sydney, I see people in their 50s and 60s who’ve been on a PPI for 15 or 20 years. Their GP told them "for life." Their pharmacist told them it was safe. And yet the burning keeps coming back despite the tablets. The truth is simpler and harder to hear. Why? The lining of your oesophagus is damaged. That’s what makes a normal amount of acid feel like fire. It’s a wall that’s lost too many bricks. And the tablet that stops the acid also stops your body from absorbing the exact minerals — zinc, B12, magnesium — that make new bricks. So the wall keeps thinning while you keep medicating. Downstream, that’s why the dose creeps up. That’s why the burning comes back on the days you forget. That’s why the aloe vera, the alkaline water, the ginger tea, all felt like they were doing something — but nothing lasted. They calmed the wall. They didn’t rebuild it. GPs are trained to reduce acid. They’re not trained to rebuild the oesophageal lining. That’s not their fault — it’s what the profession has been teaching since 1989. Six years ago, a paper from Imperial College London in the journal Gut showed a specific form of zinc — zinc-L-carnosine — actually triggered the gut lining to rebuild itself. It’s been a prescription tablet in Japan since 1994. It never made it onto the PBS in Australia. I was sceptical when I first read it. I don’t recommend anything to my patients I haven’t reviewed for at least six months. But I looked at three things: ✓ Patients on it slept flat within the first two weeks ✓ The 3am wake-up faded by the end of the first month ✓ Nobody had to stop their PPI to see the effect It contains PepZinGI™ zinc-L-carnosine, DGL licorice with the blood-pressure compound removed, a ginger extract for gastric motility, and artichoke leaf for bile flow and indigestion. Five ingredients. Vegetable capsule. No gluten, soy, or dairy. Gut Vital™ doesn’t just fight your symptoms. It addresses what’s causing them. My patients take it with their morning tablet — one capsule with breakfast, one with dinner. It becomes part of the routine. No one’s calling Gut Vital™ a "miracle cure." It’s a mechanism-based formula that gives the lining what it needs. Close your eyes for a moment. Imagine sleeping flat, on your back, for the first time in a decade. Imagine ordering the flat white after Sunday lunch. Imagine forgetting the tablet on holiday and remembering the next day — because nothing woke you up. https://go.usevelaro.com/Gut-Vital/how-to-protect-your-esophagus-from-heartburn-acid-reflux-and-gerd